Individual provider Active NPI

James Steven Leffert, ED.D.

  • Psychologist
  • Framingham, MA
National Provider Identifier
1013989565
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6678 Issued in MA
Practice address
5 Edgell Rd
Framingham, MA 01701-4868
Phone
(508) 370-9056
Fax
(617) 354-3684
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6678 MA Primary

Addresses

Primary practice location

5 Edgell Rd
Framingham, MA 01701-4868

Mailing address

57 Gorham St
Cambridge, MA 02138-1934
Phone (617) 492-8393

Other identifiers 1

IdentifierTypeStateIssuer
0525898MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000535 MA Practitioner - Clinical Psychologist 7517099476 Practice locations: Cambridge, MA; Framingham, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

49 Hancock St
Suite 101
Cambridge, MA 02139-3188
Phone (617) 492-8393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6678MAMDVeterinarian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1013989565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 GORHAM ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381934",
            "telephone_number": "617-492-8393",
            "fax_number": "617-354-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EDGELL RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014868",
            "telephone_number": "508-370-9056",
            "fax_number": "617-354-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFFERT",
        "first_name": "JAMES",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "6678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0525898",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.